# Exploring the Effectiveness and Challenges of Community Rehabilitation Service Programs for Children with Developmental Delays: A Qualitative Study from the Perspective of Early Intervention Service Providers in Taiwan

## TL;DR

This study explores how well community rehabilitation programs help children with developmental delays in Taiwan, based on insights from service providers.

## Contribution

The study introduces a qualitative analysis of community rehabilitation effectiveness and challenges using a single-case experimental design in Taiwan.

## Key findings

- Community rehabilitation programs showed both immediate and sustained effectiveness for children with developmental delays.
- Parents and professionals faced different challenges, with parents struggling with communication and professionals with implementation difficulties.
- Improvement strategies should be tailored for parents and professionals to address differing attitudes and administrative obstacles.

## Abstract

This qualitative study aimed to investigate the effectiveness of community rehabilitation programs for children with developmental delays from the perspective of early intervention service providers in Taiwan. Adopting a single-case experimental design (ABM design), this study examined the immediate and sustained effects of interventions on individualized goals during baseline, intervention, and maintenance phases. Additionally, data from interviews with parents, special education teachers, and other participants were collected to understand the challenges and improvement strategies of community rehabilitation programs. Results revealed that community rehabilitation programs for children with developmental delays exhibited both immediate and sustained effectiveness. Challenges faced by parents and professionals differed, with parents having less contact and communication with administrative systems, while professionals experienced more pronounced implementation difficulties during interventions. Moreover, strategies for improving community rehabilitation programs for children with developmental delays should vary for parents and professionals to address inconsistencies in attitudes and strategies among parents and administrative obstacles encountered by professionals.